RT Journal Article SR Electronic T1 Head-to-Head Comparison of 68Ga-NOTA (68Ga-NGUL) and 68Ga-PSMA-11 in Patients with Metastatic Prostate Cancer: A Prospective Study JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 1457 OP 1460 DO 10.2967/jnumed.120.258434 VO 62 IS 10 A1 Suh, Minseok A1 Im, Hyung-Jun A1 Ryoo, Hyun Gee A1 Kang, Keon Wook A1 Jeong, Jae Min A1 Prakash, Sneha A1 Ballal, Sanjana A1 Yadav, Madhav P. A1 Bal, Chandrasekhar A1 Jeong, Chang Wook A1 Kwak, Cheol A1 Cheon, Gi Jeong YR 2021 UL http://jnm.snmjournals.org/content/62/10/1457.abstract AB 68Ga-NOTA Glu-Urea-Lys (NGUL) is a novel prostate-specific membrane antigen (PSMA)–targeting tracer used for PET/CT imaging. This study aimed to compare performance in the detection of primary and metastatic lesions and to compare biodistribution between 68Ga-NGUL and 68Ga-PSMA-11 in the same patients with prostate cancer. Methods: Eleven patients with metastatic prostate cancer were prospectively recruited. The quantitative tracer uptake was determined in normal organs and in primary and metastatic lesions. Results: 68Ga-NGUL showed significantly lower normal-organ uptake and rapid urinary clearance. The number and sites of detected PSMA-positive primary and metastatic lesions were identical, and no significant quantitative uptake difference was observed. 68Ga-NGUL showed a relatively lower tumor-to-background ratio than 68Ga-PSMA-11. Conclusion: In a head-to-head comparison with 68Ga-PSMA-11, 68Ga-NGUL showed lower uptake in normal organs and similar performance in detecting PSMA-avid primary and metastatic lesions. 68Ga-NGUL could be a valuable option for PSMA imaging.